Class of 2021 . . . how ya doin?

[cdo96]

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Me, reading a radiograph: "Hm, that looks different"
The assignment: "Yes, but what is it you see Finn? Use doctor words."
Me: "Uhhhh, dunno, something wrong here?"

“yeah no, it’s got a case of the bads”

 

[vetmedhead]

“yeah no, it’s got a case of the bads”

I regularly diagnose Badness and Sadness. My top two differentials really

 

[Coopah]

Guys GUYS!!! I did an epic epidural today! Got it on the first shot! The anesthesia peeps were stunned and elated, because they're super awesome peeps too! I finally feel like I'm good at something. By god I can't reason out your dog with 18 problems or diagnose that super weird eye disease, hell I can't even answer drug class questions with any level of confidence (even if the clinician starts spelling it out for me). But right now, I can put a needle god damn anywhere! I've tapped a chest, abdomen and now done an epidural. My surgery skills are nothing to be sneezed at either. Hell yeah, I can do the things!

 

[battie]

My internal medicine gang is so awesome. The clinicians, the other students, everyone. Normally it's one of our "terrible 4", so I was very scared for this rotation. But now? We're getting good!

 

[mmmdreamerz]

I'm having a pretty good time on ER despite the craziness that which is our ER and my currently-bizarre sleep schedule.

I also proposed an original research project to my mentor that I got the idea for during rounds one day and she was all for it. Super pumped.

 

[battie]

I'd like it for my hospitalized patients that are discharged to stay discharged and stop getting rehospitalized a few days later. K thnx.

 

[WildZoo]

I'd like it for my hospitalized patients that are discharged to stay discharged and stop getting rehospitalized a few days later. K thnx.

SO FRUSTRATING

 

[battie]

SO FRUSTRATING

Dog came in for recheck. Discharged Monday after starting the rotation that day, but she'd been managed on the service since the previous week. Upon recheck, def not okay. Rehospitalized. Died 24 hours later in hospital and stayed until owners could be there at 6:30 to visit her and talk to us about what happened. Amazing people and doggo <3

Was there for my weekend shift this morning, and the cat I discharged literally 2 hours after the aforementiond dog was admitted was readmitted through ER while I was there. I'm literally 2/2 on my hospitalized patients coming back, and 1/2 on less than stellar outcomes. I'm off tomorrow, so we'll see if cato is still here, and then I'll take her back if so.

 

[WildZoo]

Dog came in for recheck. Discharged Monday after starting the rotation that day, but she'd been managed on the service since the previous week. Upon recheck, def not okay. Rehospitalized. Died 24 hours later in hospital and stayed until owners could be there at 6:30 to visit her and talk to us about what happened. Amazing people and doggo <3

Was there for my weekend shift this morning, and the cat I discharged literally 2 hours after the aforementiond dog was admitted was readmitted through ER while I was there. I'm literally 2/2 on my hospitalized patients coming back, and 1/2 on less than stellar outcomes. I'm off tomorrow, so we'll see if cato is still here, and then I'll take her back if so.

Mine was a calf. Also happened with a dog on internal med but I was online and never actually met her...still sucked but not quite the same as the calf I cared for most of my time on farm animal. When I started the rotation he'd been in the hospital for a month already, and I was finally able to discharge him on the Monday of my second week. Owners sent a video the next day of him running and playing. He came back on Thursday doing awful, and ended up being euthanized early on in the next rotation 🙁

 

[genny]

I'm literally 2/2 on my hospitalized patients coming back, and 1/2 on less than stellar outcomes.

It’s a little different when you’re at a facility of specialists like a university - if a GP could have solved their issues, they wouldn’t be seeing you guys. So they’re either really sick or really weird cases. Don’t let it get you down!

 

[mmmdreamerz]

My crap case of the week was a middle of the night pyo/aspiration pneumonia that was also a money case. We sent home so they could try to find a cheaper surgical option...they came back after getting money...Go to surgery...dog had a perforated duodenum (on top of the pyo) and was euthed on the table. Still can’t reason that one.

 

[cdo96]

I’m just getting home from an ex lap of a 275 lb mastiff. He was absolutely ridiculous!!!

 

[WildZoo]

I’m just getting home from an ex lap of a 275 lb mastiff. He was absolutely ridiculous!!!

THAT IS A LARGE DOG

 

[Minnerbelle]

It’s a little different when you’re at a facility of specialists like a university - if a GP could have solved their issues, they wouldn’t be seeing you guys. So they’re either really sick or really weird cases. Don’t let it get you down!

Yeah... for a good proportion of patients that step foot in a tertiary referral facility, when they enter that lobby it is the beginning of the end, their descent to end of life...

 

[battie]

So they’re either really sick or really weird cases. Don’t let it get you down!

Yeah... for a good proportion of patients that step foot in a tertiary referral facility, when they enter that lobby it is the beginning of the end, their descent to end of life...

Yeah, it's hard to keep that in mind. She was *really* sick and weird case. Weird enough that the CC and IM peeps were talking through her case for at least an hour. And my second rehospitalized patient was sent to cardio instead of IM. Last week: kidney failure. This week: heart failure.

 

[SkiOtter]

Yeah, it's hard to keep that in mind. She was *really* sick and weird case. Weird enough that the CC and IM peeps were talking through her case for at least an hour. And my second rehospitalized patient was sent to cardio instead of IM. Last week: kidney failure. This week: heart failure.

Poor bb cat

 

[WildZoo]

Last week: kidney failure. This week: heart failure

Ugh that's one of the worst combos

 

[Coopah]

Ugh that's one of the worst combos

Especially because kidney failure is what killed my patient with heart failure because of the furosemide. Blegh

 

[vetmedhead]

Ugh that's one of the worst combos

Kidneys and hearts are mortal enemies. None of them like the same things

 

[SkiOtter]

Somehow my moms dog lived for a few years with both heart and kidney disease

 

[finnickthedog]

When you paid for vetprep premium and you're trying to finish enough questions to unlock the "pile of done" feature in time to actually use it so you feel like you didn't waste money.

 

[WildZoo]

When you paid for vetprep premium and you're trying to finish enough questions to unlock the "pile of done" feature in time to actually use it so you feel like you didn't waste money.

Hope you fare better than I did lol I definitely wasted money

 

[finnickthedog]

Hope you fare better than I did lol I definitely wasted money

80% is a high bar for being able to recycle questions you've finished. I feel like I can probably finish it before my test date, but not so sure I'll hit 80 in time to actually make use of the feature.

I also think that if I'd actually been in person clinics all this time I might be like... a third of where I'm currently at.

 

[vetmedhead]

80% is a high bar for being able to recycle questions you've finished. I feel like I can probably finish it before my test date, but not so sure I'll hit 80 in time to actually make use of the feature.

I also think that if I'd actually been in person clinics all this time I might be like... a third of where I'm currently at.

That's what I'm like! I've somehow hit 50% on Zuku and it's 95% because I would do it during downtime on online rotations for weeks at a time. Meanwhile just now getting back to it for the first time in a month since we've started in person stuff again

 

[WildZoo]

Honestly my advice to future generations is not to bother with premium lol My brain mostly turned off when i tried to watch the lecture videos, and I didn't do enough of it to use the pile of done (and honestly forgot that I should even have been trying to reach that benchmark to get my money's worth haha)

 

[finnickthedog]

Honestly my advice to future generations is not to bother with premium lol My brain mostly turned off when i tried to watch the lecture videos, and I didn't do enough of it to use the pile of done (and honestly forgot that I should even have been trying to reach that benchmark to get my money's worth haha)

I don't know if they had started this when you had it but they're in the process of revamping the lectures and I actually like the ones that have been updated because you can double speed them and a lot of them are pretty short. I don't like the ones that haven't been revamped yet, but if all of them were updated already, I'd be getting much more use out of that feature.

 

[WildZoo]

I don't know if they had started this when you had it but they're in the process of revamping the lectures and I actually like the ones that have been updated because you can double speed them and a lot of them are pretty short. I don't like the ones that haven't been revamped yet, but if all of them were updated already, I'd be getting much more use out of that feature.

They had started it, so when I did watch them I mostly watched the revamped ones. I still didn't find them very useful but that's probably because given the option I learn things better by reading than by listening and I could get through more material that way. And it was more convenient most of the time to read a power page during downtime that to watch a video. I think it was just too soon after leaving the classroom for me...watching those videos reminded me of being in class so I immediately went into not paying attention mode lol

 

[finnickthedog]

They had started it, so when I did watch them I mostly watched the revamped ones. I still didn't find them very useful but that's probably because given the option I learn things better by reading than by listening and I could get through more material that way. And it was more convenient most of the time to read a power page during downtime that to watch a video. I think it was just too soon after leaving the classroom for me...watching those videos reminded me of being in class so I immediately went into not paying attention mode lol

Fair. I had several months between me and my last lecture before I actually watched a couple power lectures. I just think some people might actually find that feature useful enough to pay for, especially since some of the lectures cover topics that aren't in the pages. Just kinda depends if you're the type to actually watch short videos or not.

But I definitely agree that I wouldn't count on getting through enough questions to utilize pile of done so if someone is considering premium for that... don't. Pile of done was the main reason I bought premium and uh, clearly that's working so well for me. 😛

 

[Cephal0pod]

Yeah, I liked the lectures but definitely ended up like 40% shy of unlocking the pile of done

 

[battie]

I have only 6.5 hours until I am done with Internal Med. Thank dog.

 

[ResoluteMike]

The VA and school certifying officials are being difficult. I am getting shorted on my benefits and I am unsure if they are going to pay for my full tuition in the spring. I have plenty of benefit time left too.

 

[cdo96]

 

[Coopah]

Finished up a fun spay surgery that had a leaking uterine stump. Got to go fish for it which was fun. The surgeon made the whole surgery fun by having a constant stream of useful tips/tricks and hilarious commentary. I'll share a good one for all you peeps who are nervous about dropped pedicles.

"If I cut your pedicle and laughed like a maniac (demonstration) then ran away, and you chased me instead of fixing it, we could go outside, smoke a cigarette, discuss our options and still have plenty of time to come back and fix everything."

 

[Trilt]

Finished up a fun spay surgery that had a leaking uterine stump. Got to go fish for it which was fun. The surgeon made the whole surgery fun by having a constant stream of useful tips/tricks and hilarious commentary. I'll share a good one for all you peeps who are nervous about dropped pedicles.

"If I cut your pedicle and laughed like a maniac (demonstration) then ran away, and you chased me instead of fixing it, we could go outside, smoke a cigarette, discuss our options and still have plenty of time to come back and fix everything."

Aka extend your incision, finish your damn spay to get the rest of the stuff out of the way, and take several deep breaths before freaking out if something is bleeding. Animals have lots of blood. 😛

 

[vetmedhead]

Aka extend your incision, finish your damn spay to get the rest of the stuff out of the way, and take several deep breaths before freaking out if something is bleeding. Animals have lots of blood. 😛

It is nice knowing that things usually don't bleed out in five seconds like they do on TV! Sometimes I think about the amount of blood I freak out about and then laugh because it's less than I bled from banging my leg on a table recently or whatever.

 

[mmmdreamerz]

Being on clinics with my mentor is literally the best 😀

 

[Coopah]

Finished up a fun spay surgery that had a leaking uterine stump. Got to go fish for it which was fun. The surgeon made the whole surgery fun by having a constant stream of useful tips/tricks and hilarious commentary. I'll share a good one for all you peeps who are nervous about dropped pedicles.

"If I cut your pedicle and laughed like a maniac (demonstration) then ran away, and you chased me instead of fixing it, we could go outside, smoke a cigarette, discuss our options and still have plenty of time to come back and fix everything."

Surgery day 2. I accidentally used my transfixing ligature (that I wouldn't even use in the real world) to tie the uterine body to the body wall and trying to remove it resulted in both ligatures coming undone??? And a freely bleeding uterus in the abdomen. I haven't seen an abdomen fill with blood that quickly before. I fixed it in under five minutes but still, wow. Another complication checked off the list I suppose!

 

[battie]

PASSED INTERNAL MED!!!!!

 

[genny]

Surgery day 2. I accidentally used my transfixing ligature (that I wouldn't even use in the real world) to tie the uterine body to the body wall and trying to remove it resulted in both ligatures coming undone??? And a freely bleeding uterus in the abdomen. I haven't seen an abdomen fill with blood that quickly before. I fixed it in under five minutes but still, wow. Another complication checked off the list I suppose!

Glad you kept your head and fixed it!

 

[finnickthedog]

Going back to the clinic on Tuesday and I can't wait to have a real patient again.

These rotations are going to fly by so fast though. Like I only have 6 days on internal med and then I'm on to the next one.

 

[deleted498041]

Finished up a fun spay surgery that had a leaking uterine stump. Got to go fish for it which was fun. The surgeon made the whole surgery fun by having a constant stream of useful tips/tricks and hilarious commentary. I'll share a good one for all you peeps who are nervous about dropped pedicles.

"If I cut your pedicle and laughed like a maniac (demonstration) then ran away, and you chased me instead of fixing it, we could go outside, smoke a cigarette, discuss our options and still have plenty of time to come back and fix everything."

Oh man, I have to steal that next time I teach students how to do spays. It's so true! Remove the annoying repro tract to get one more organ out of your way so you can see, and then fix the bleeding!

 

[finnickthedog]

So happy to touch a real patient again I don't even care that it was an angry cat.

 

[Coopah]

Uh oh... I just realized I'm basically half-way through clinics and also the NAVLE is two months away.

 

[SkiOtter]

Uh oh... I just realized I'm basically half-way through clinics and also the NAVLE is two months away.

How are you already halfway!? I thought you guys have only been back for like 4 months?

 

[cdo96]

NAVLE is 10 weeks from tomorrow, and someone is making it impossible to study tonight!

 

[finnickthedog]

10 weeks

Ya know, counting in days feels a lot safer because it's a higher number. I dislike that you have brought weeks to my attention.

 

[cdo96]

Ya know, counting in days feels a lot safer because it's a higher number. I dislike that you have brought weeks to my attention.

but you see weeks are SO LONG. Weeks last forever.

days are very short in comparison

71 days until navle

 

[Coopah]

How are you already halfway!? I thought you guys have only been back for like 4 months?

They didn't extend the year, we started in April. We go until end of may. I'm in week 22 of 58 not exactly half way but close enough it's very jarring

 

[SkiOtter]

They didn't extend the year, we started in April. We go until end of may. I'm in week 22 of 58 not exactly half way but close enough it's very jarring

Coop that’s like a third
Exciting though

 

[finnickthedog]

but you see weeks are SO LONG. Weeks last forever.

days are very short in comparison

71 days until navle

I'm not going to say days feel longer than weeks because that's not quite what I mean but... sometimes a day feels like a long time in the sense that it drags by kinda slow while it's happening. But a week I somehow look up and it's gone?

So they even out to not feeling significantly different to me and thus I take comfort in the higher number 😛